Organization
VILLAGE OF TRENTON
Active
Other names
TRENTON RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MCDONALD (PRESIDENT)
(402) 572-4019
Entity
Organization
Contact information
Practice address
333 MAIN ST, TRENTON, NE 69044-1701
(308) 340-5250
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09386
BLUE CROSS PROVIDER
NE
01
—
590006109
RR MEDICARE PROVIDER NO
—
Enumeration date
02/13/2007
Last updated
03/24/2011
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